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Help With ADHD

Curated and updated for the community by APA

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common mental disorders affecting children. ADHD also affects many adults. Symptoms of ADHD include inattention (not being able to keep focus), hyperactivity (excess movement that is not fitting to the setting) and impulsivity (hasty acts that occur in the moment without thought).

See definition, symptoms, & treatment

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Active Minds

My son's teacher keeps sending notes home about his behavior at school and I don't understand the problem. He is fine with me, maybe a handful for his mother and his grandparents. Should I ask for them to change his teacher, or is there a problem?

You are fortunate to have good management skills that help you with your child's behavior. Parents often get confusing reports about their children, and there are many factors that need to be considered. A good starting point is a meeting with your child's teacher and school guidance counselor. Ask for another observation of your child in the classroom. If the problems continue, there are behavior rating scales that help to clarify the problem behaviors. The Vanderbilt Assessment Scales used for diagnosing ADHD are readily available and the standard in many communities. Your child’s doctor may be comfortable with the next steps in the evaluation or you might look for a mental health professional, such as a child and adolescent psychiatrist, to continue the evaluation process. More

Are there side effects with ADHD medications that we should be worried about with children? What about adults taking ADHD medications long-term?

Like all medications there are important side effects that should be considered if a decision is made to try medications for treatment of ADHD. The most serious side effects involve the heart, primarily in children who have known heart problems. More common side effects are lack of appetite, sleep problems and moodiness. Usually these side effects can be managed with adjustments in the dosage, timing of dose or changing to another medication. Your child’s treatment will involve regular follow-up visits to monitor for any of these problems.

Most children with ADHD will continue having problems with concentration and focus during adolescence and adulthood. Research has confirmed that medications continue to be effective into adulthood. While there are few studies looking at very long-term effects it appears that the long- term benefit outweighs the risks. More

My 17-year-old son with ADHD does not want to take his medication anymore. Should I continue to try to get him to take the medication?

Adolescents with almost any medical condition will insist that they can manage their treatment. “I would rather do it myself.” Fortunately, in most cases the physician has anticipated this and steps have been taken early to help your child learn about his condition, identify target symptoms that improve with treatment and encourage open discussion about side effects. Trials off medication are welcomed. Explore your son’s reasons for wanting to be off medication. It may be a side effect that he has not discussed with his doctor. Identify the likely changes that are expected during a trial off medication. Your son might be willing to identify a neutral observer (a favorite teacher, a coach) who can help monitor for problem issues. Their observations may feel less “parental.” More

Are there non-medication ADHD treatments that are effective?

There are many steps that a family can take short of medication. Usually these involve close attention to a problem behavior and developing a strategy (not punishment) that might change the behavior. Some are straight forward – tighter routines in the morning while getting ready for school, close monitoring of homework assignments and school projects that require planning, or accommodations at school for tests. Some families benefit from counseling to examine conflicts at home.

There are many other “treatments” on the market that promise to be the answer for your child. Most of their claims have not been adequately tested for safety or long-term benefit. In this area parents have to be very informed consumers. A conversation with your child’s pediatrician is a good place to start. More

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About the Expert:

Scott Benson, M.D.
Pediatric Psychiatrist
Pensacola, Fla.

Tammy’s Story

Tammy, an 8-year-old third grader, was halfway through the second grading period when her parents asked for another conference with her teacher. Her grades were very low with failure to complete class assignments and inconsistent performance on homework.

Read More

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Editor's Choice

MAY 21, 2017

ADHD Symptoms are Going Untreated in Black Youth

NBC News

Are troublesome ADHD symptoms going untreated in African-American youth even after they are diagnosed? According to a recent study published in Pediatrics, the answer is yes. Researchers found that African-American youth with ADHD are more likely to go off of their medication and less likely to have adequate follow-up than their white counterparts. But, while the study focused mainly on the medication aspect of treatment, some parents are simply managing their children's ADHD in other ways.

MAY 19, 2017

2 Valuable Tips To Help Manage Employees With ADHD

Forbes

Time management. When working with employees with ADHD, managers need to be especially conscious of the effect of distractions and how easily they affect deadlines. The power of accountability. "Accountability is your best friend," Kyle wrote. "The level I was distracted clearly got in the way of my goals and aspirations. I was also just wasting time. The distractions didn't even feel good. It almost hurts how long it took me to understand how powerful accountability is.”

MAY 19, 2017

Can fidget spinners actually relieve symptoms of ADHD and autism?

STAT

The popular toys known as fidget spinners are incredibly simple – a few small blades that whirl around a center core — but some manufacturers have touted them as therapeutic, claiming they can be used to relieve symptoms of attention disorders, autism, and anxiety. The evidence, however, just isn’t there. There haven’t been any thorough studies to evaluate the toys’ effect on those conditions. And experts warn that for some kids with ADHD, the spinners might be a harmful distraction.